Individual
ZANETTA FAYE WILBURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
316 W MAIN ST, CABOT, AR 72023-2912
(501) 398-6924
Mailing address
316 W MAIN ST, CABOT, AR 72023-2912
(501) 398-6924
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R108658
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237239732
—
AR
Enumeration date
02/12/2020
Last updated
02/12/2020
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